CMS Price Transparency Data

X-ray, shoulder

Facility: HCA Florida Mercy Hospital

Billing Code: 73030 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73030
Insurance Median: $799
Cash Discount Price: $2,748
vs. Medicare Baseline: 8.99x Medicare

The contracted insurance negotiated median rate for a X-ray, shoulder at HCA Florida Mercy Hospital is $799. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,748. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 8.99x the Medicare baseline. Located in 401 Nw 42Nd Ave, Plantation, FL.

Cash / Self-Pay

$2,748

Average discount available for prompt cash payment at this facility.

Insurance Median

$799

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$88.91

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $88.91 (100%)

Cash / Self-Pay: $2,748 (3091%)

Insurance Median: $799 (899%)

Cash: $2,748 (3091% of Medicare)

Ins. Median: $799 (899% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $88.91 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 899% of the Medicare baseline (a markup of 799%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Freedom Health	$155 - $590	174%
Optimum	$155 - $317	174%
United	$182 - $1,660	205%
Avmed	$217 - $1,845	244%
Simply Healthcare Plans	$235 - $480	264%
Molina	$343 - $996	386%
Humana	$379 - $1,255	426%
Health Sun Health Plan	$385 - $786	433%
Aids Healthcare	$397 - $4,428	447%
Mmm Of Fl (Health Advantage Plan)	$415 - $849	467%
United Ppo	$428 - $875	481%
Sunshine State Health Plan	$470 - $959	529%
Corvel Corporation	$476	535%
Careworks (Rockport)	$486	547%
Prime Health	$486	547%
Aetna	$542 - $1,107	610%
Plotkin Health	$903 - $1,845	1016%
Prime Health Sherriff	$903 - $1,845	1016%
Medica Healthcare	$1,066 - $2,177	1199%
Multiplan	$1,354 - $3,136	1523%
Evernorth Bh	$1,445 - $2,952	1625%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $2,748.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 73030.

Insurance In-Network Protection Plan

Contact your insurance company to confirm HCA Florida Mercy Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 73030.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.